Patients seeking care from acupuncture practitioners in the UK: A national survey
Patients seeking care from acupuncture practitioners in the UK: A national survey
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DOI：
10.1016/j.ctim.2005.07.006
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发表时间：
2006-03-01
影响因子：
3.6
通讯作者：
Thomas, Kate
中科院分区：
文献类型：
--
作者：
MacPherson, Hugh;Sinclair-Lian, Nityamo;Thomas, Kate
目的：主要目的是描述针灸患者的特征，特别是他们寻求治疗的主要问题或症状。我们的第二个目的是将针灸患者的概况与1988年进行的患者调查的数据进行比较。方法：我们使用了最近一项前瞻性不良事件调查的数据，该调查样本中有代表性的9408名针灸患者咨询了英国针灸协会的成员。我们分析了患者报告的人口统计细节、护理途径、国民医疗服务是否为他们的治疗买单、他们之前是否曾就主要问题咨询过全科医生或医院专家，以及他们是否第一次咨询针灸医生。我们分别分析了纳菲尔德省资助的一项调查的同等数据。结果：74%的患者为女性，平均年龄51岁。最常见的是，患者自我推荐(39%)，以前曾就他们的问题或症状咨询过医生(78%)，为自己的治疗买单(95%)，以前接受过针灸(87%)。患者报告的最常见的主要问题或症状是肌肉骨骼(38%)，其次是心理(11%)，一般。(9%)，神经科(8%)和妇产科(8%)，而5%的患者寻求治疗他们的类属[福祉]。将我们的数据与1988年的调查数据进行比较，我们发现随着时间的推移，我们发现了一些变化，特别是肌肉骨骼疾病的比例显著下降(chi(2)=17.36，D.F.)。=1，p<；0.001)，表明与1988年求医的患者相比，患者中的病例组合更广泛。结论：来自针灸患者报告的证据表明，肌肉骨骼问题是求医的主要原因。这项研究的大型数据集提供了丰富的信息和一系列新的问题，将为未来的研究和政策制定提供信息。(C)2005爱思唯尔有限公司。保留所有权利。
Objective: The primary aim was to describe the characteristics of acupuncture patients and in particular the main problem or symptom for which they were seeking treatment. Our secondary aim was to compare the profiles of acupuncture patients with those of a patient survey undertaken in 1988.Methods: We used the data from a recent prospective adverse event survey of a representative sample of 9408 acupuncture patients who were consulting members of the British Acupuncture Council. We analysed patient reports of demographic details, pathways to care, whether the National Health Service paid for their treatment, whether they had previously consulted a GP or hospital specialist for their main problem and whether they were consulting an acupuncturist for the first time. We separately analysed equivalent data from a survey funded by the Nuffield Provincial. Hospital Trust undertaken in 1988.Results: Seventy-four percent of patients were female, and with an average age of 51 years. Most commonly, patients had self-referred (39%), had previously consulted their doctor about their problem or symptom (78%), were paying for their own treatment (95%), and had received acupuncture before (87%). The most common main problem or symptom reported by patients was musculo-skeletal (38%), followed by psychological (11%), general. (9%), neurological (8%) and gynaecological /obstetric (8%), while 5% of patients were seeking treatment for their genera[ well-being. In comparing our data with that of the 1988 survey, we found a number of changes over time, in particular the proportion of musculo-skeletal conditions had dropped significantly (chi(2) = 17.36, d.f. = 1, p < 0.001), indicating a wider case mix amongst patients compared with those seeking care in 1988.Conclusion: This evidence from acupuncture patients' reports shows that musculoskeletal problems provide the main reason for seeking treatment. The large dataset from this study provides a wealth of information and a fresh raft of questions which will inform future research and policy-making. (C) 2005 Elsevier Ltd. All rights reserved.